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[青少年精神科住院患者中特定精神障碍与自杀未遂发生情况的关系]

[The relation of selected psychiatric disorders to occurrence of suicide attempts among teenage psychiatrically hospitalized patients].

作者信息

Krajewska Katarzyna, Gawlik-Kotelnicka Oliwia, Gmitrowicz Agnieszka

机构信息

Medical University of Łódź, Poland: Department of Teenage Psychiatry.

Medical University of Łódź, Poland: Department of Affective and Psychotic Disorders.

出版信息

Pol Merkur Lekarski. 2015 Jun;38(228):329-31.

Abstract

UNLABELLED

Suicide is the third cause of death globally in the age group 10-19. Multiple risk factors (genetic, psychiatric, psychological, familial, social) increased number of suicide attempts.

AIM

The aim of this study was to explore whether mental disorders are associated with the number of suicide attempts among psychiatric hospitalized adolescents.

MATERIALS AND METHODS

Retrospective, chart-based analysis of 119 patients, aged 13-18, treated in 2013-2014 in the Department of Adolescent Psychiatry in Łódź. Inclusion criteria was diagnosis of schizophrenia, schizotypal and delusional disorders, mood disorders, neurotic, stress-related and somatoform disorders, behavioral and emotional disorders according to ICD 10. Exclusion criteria were other psychiatric diagnosis, incomplete information about intention of self-harm behaviors. For statistical analysis used Statistica 9.1.

RESULTS

Among psychiatricaly hospitalized patients, 51.2% of people attempted suicide. No relationship was found (p > 0.05) between psychiatric diagnosis and frequency of suicide attempts in adolescents, but the most common suicide attempts related to people with a diagnosis of mood disorders (59.3%) and neurotic disorders (54.6%), and least frequently in patients with a diagnosis of schizophrenia , schizotypal and delusional disorders (40%) and behavioral and emotional disorders (44.4%).

CONCLUSIONS

There is no relation between the occurrence of suicide attempts and the type of mental disorders among psychiatrically hospitalized adolescents.

摘要

未标注

自杀是全球10 - 19岁年龄组的第三大死因。多种风险因素(遗传、精神、心理、家庭、社会)会增加自杀未遂的数量。

目的

本研究旨在探讨精神障碍是否与青少年精神科住院患者的自杀未遂次数相关。

材料与方法

对2013 - 2014年在罗兹青少年精神科接受治疗的119例年龄在13 - 18岁的患者进行基于病历的回顾性分析。纳入标准为根据国际疾病分类第10版诊断为精神分裂症、分裂型和妄想性障碍、心境障碍、神经症、应激相关及躯体形式障碍、行为和情绪障碍。排除标准为其他精神科诊断、关于自伤行为意图的信息不完整。使用Statistica 9.1进行统计分析。

结果

在精神科住院患者中,51.2%的人曾试图自杀。未发现青少年的精神科诊断与自杀未遂频率之间存在关联(p > 0.05),但自杀未遂最常见于诊断为心境障碍(59.3%)和神经症障碍(54.6%)的患者,而诊断为精神分裂症、分裂型和妄想性障碍(40%)以及行为和情绪障碍(44.4%)的患者自杀未遂频率最低。

结论

精神科住院青少年的自杀未遂发生情况与精神障碍类型之间不存在关联。

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